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HOW TO USE - Drink it hot, empty a coffee stick into a cup and add 4 oz of hot water, stir well and enjoy

Physical examination revealing a palpable defect in the abdominal wall that enlarges with Valsalva maneuver (bearing down) strongly suggests a true hernia rather than a mimic condition

For a 180 lb adult, that is 130 to 165 g daily

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Users sometimes describe this as feeling their medication "wear off" toward the end of the week, with appetite returning or energy dipping